Saving Pharmacies or Raising Drug Costs? Iowa Gov. Kim Reynolds Signs Law Regulating PBMs
- Governor Kim Reynolds signed Senate File 383 into law on Wednesday to regulate pharmacy benefit managers and protect rural pharmacies in Iowa.
- The legislation responds to the closure of over 200 Iowa pharmacies since 2014, driven by low reimbursement rates and concerns about PBM practices.
- The law mandates pass-through pricing, prohibits PBMs from limiting pharmacy choice, requires a dispensing fee, and provides pharmacies an appeals process for reimbursements.
- On May 12, 2025, pharmacists gathered outside the Iowa Capitol to encourage legislators to pass the bill, while various business organizations cautioned that it could increase health care expenses by $340 million each year and potentially lead to pharmacy closures.
- Governor Reynolds described the decision to sign the bill as challenging and emphasized that her administration will continue to carefully oversee its implementation to address any unintended effects, highlighting that efforts to improve health care in Iowa will persist beyond this legislation.
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